Proctology
Rectoscopy and proctoscopy are established methods for diagnosing and treating rectal disease. The combination with video endoscopic technologies permits extraordinarily good visualization as well as clear documentation of findings and extends the range of indications to complex minimally invasive procedures such as transanal rectal surgery.
For these indications, KARL STORZ offers a wide range of products to hospitals and offices, ranging from instruments for rectal biopsies and polyp removal, optical forceps, and instruments for treating hemorrhoids to video endoscopic instruments for transanal endoscopic operation (TEO) and video-assisted anal fistula treatment (VAAFT).
Highlights
E.P.Si.T. – Endoscopic Pilonidal Sinus Treatment
The pilonidal sinus is an acute or chronic inflammatory process in the subcutaneous adipose tissue, often occurring in the sacrococcygeal region1. E.P.Si.T. – Endoscopic Pilonidal Sinus Treatment – proceeds in two phases. In the first – diagnostic – phase, the sinus cavity and the sinus tracts are examined. The aim of the second – therapeutic – phase is to ablate the abscess cavity and to eliminate the fistula2. Both phases are performed under direct endoscopic control.
Special Features:
- E.P.Si.T. can be performed in an outpatient setting
- Ablation of the abscess cavity and elimination of the fistula under direct vision
- High patient satisfaction3
- Straightforward, safe, effective and reproducible method of treatment3
- Instruments can also be used to treat anal fistulas (VAAFT technique)
Sources:
1 AWMF Summary of the S3 Guidelines 081/009: Sinus pilonidalis
2 Endoscopic Pilonidal Sinus Treatment: A Prospective Multicentre Trial. P. Meinero et al., 2016
3 Endoscopic Pilonidal Sinus Treatment, Giarratano G et al., 2017
Endoscopic pilonidal sinus treatment (EPSiT)Endoskopische Pilonidalsinus Therapie (EPSiT): First single-center experience with an effective method for treating pilonidal sinus
Endoscopic Pilonidal Sinus Treatment: A Tertiary Care Academic Center Experience
Brazilian and argentinean multicentric study in the surgical minimally invasive treatment of pilonidal cyst
Short-term outcomes of endoscopic pilonidal sinus treatment
Human Medicine
Proctology
Annals of the Royal College of Surgeons of England 2019 Aug
The endoscopic treatment of pilonidal sinus disease: a short-term case-series study
Preliminary report on endoscopic pilonidal sinus treatment in children: results of a multicentric series
Outcomes of endoscopic pilonidal sinus treatment (EPSiT): a systematic review
Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population
Endoscopic Pilonidal Sinus Treatment: Long-Term Results of a Prospective Series
Human Medicine
Proctology
Journal of the Society of Laparoendoscopic Surgeons 2017 Jul-Sep
Endoscopic pilonidal sinus treatment: a prospective multicentre trial
Human Medicine
Proctology
Colorectal Disease: The Official Journal of the Association of Coloproctology of Great Britain and Ireland 2016 May
VAAFT Set
Video-Assisted Anal Fistula Treatment
The VAAFT technique is suitable for the surgical treatment of complex anal fistulas and recurrences. VAAFT – Video Assisted Anal Fistula Treatment – proceeds in two phases. The purpose of the first – diagnostic – phase is to inspect the fistula pathway and to locate the internal fistula opening. The goal of the second – therapeutic – phase is the complete destruction of the fistula epithelium. Both phases are performed under direct endoscopic control.
Special Features:
- Exact localization of the internal fistula opening1 under visual control
- Complete elimination of the fistula from the inside1
- Minimal postoperative trauma1
- Significant time-saving and cost-saving potential1
- Fully autoclavable
Sources:
1 Video-assisted anal fistula treatment (VAAFT): a novel sphincter-saving procedure for treating complex anal fistulas. Meinero et. al. 2011
Long term efficacy of Video-Assisted Anal Fistula Treatment (VAAFT) for complex fistula-in-ano: a single-centre Australian experience
A Systematic review and meta-analysis of the efficacy and safety of video-assisted anal fistula treatment (VAAFT)
VAAFT: Video Assisted Anal Fistula Treatment; Bringing revolution in Fistula treatment
Video-assisted anal fistula treatment
Human Medicine
Proctology
Journal of the Society of Laparoendoscopic Surgeons 2014 Jul-Sep
Comparative study of clinical efficacy between video-assisted anal fistula treatment and traditional fistula resection plus seton in treatment of complex anal fistula
Human Medicine
Proctology
Chinese Journal of Gastrointestinal Surgery 2018 July
Symptom amelioration in Crohn's perianal fistulas using video assisted anal fistula treatment (VAAFT)
Video-assisted anal fistula treatment in the management of complex anal fistula: a single-center experience
Short-term efficacy and safety of three novel sphincter-sparing techniques for anal fistulae: a systematic review
Enterocutaneous fistula: a novel video-assisted approach
Human Medicine
Proctology
Wideochirurgia I inne techniki maloinwazyjne 2017 Sept
Video-Assisted Anal Fistula Treatment (VAAFT) for Complex Anal Fistula: A Preliminary Evaluation in China
Human Medicine
Proctology
Medical Science Monitor: International Medical Journal of Experimetal and Clinical Research 2017 Apr
TEO® – Transanal Endoscopic Operations
The minimally invasive transanal platform for the treatment of rectal neoplasia
Transanal Endoscopic Operations (TEO®) combines the minimal invasiveness of an intervention via a natural body orifice (NOTES) with the precision of resection under endoscopic microsurgery.
Special Features:
- Available in lengths of 7.5, 15 and 20 cm
- Compatible with all standard camera systems for laparoscopy
- Mechanical holding arm enables the platform to be placed in a very stable position
Transanal Endoscopic Operation for Benign Rectal Lesions and T1 Carcinoma
Human Medicine
Proctology
Journal of the Society of Laparoendoscopic Surgeons 2017 Jan-Mar
Importance of Resection Margins in the Treatment of Rectal Adenomas by Transanal Endoscopic Surgery
What is the best tool for transanal endoscopic microsurgery (TEM)? A case-matched study in 74 patients comparing a standard platform and a disposable material
Human Medicine
Proctology
International Journal of Colorectal Disease 2017 Jul
Transanal endoscopic resection with peritoneal entry: a word of caution
Hybrid NOTES: TEO for transanal total mesorectal excision: intracorporeal resection and anastomosis
Additional information on the specialty
In-Service: Rectovision®
In-Service: Proctovision®
In-Service: CLICKLINE REDDICK-OLSEN – Grasping Forceps for VAAFT and EPSiT
Video-Assisted Treatment of Anal Fistula (VAAFT) and Pilonidal Sinus Disease (EPSiT)
Transanal Endoscopic Operations (TEO® ) – Advanced Resection and Reconstructive Techniques – 2nd Edition
Fistuloscopy Set for direct Endoscopic Control in Proctology
Proctology – With KARL STORZ Suite of Devices
PROCTOLOGY
TEO® – Transanal Endoscopic Operations – The minimally invasive platform for the treatment of rectal neoplasia.
TRAINERS AND SIMULATORS
D-PORT DAPRI operating rectoscope system Model 24944 TS
Snare Guide Models 25731/25732/25734/25734 K
Suction ligature instrument Model 25211 P
TEO Operating System
Polypectomy Loop, Biopsy Forceps Model 13773 xx, 13751 x, 13752 x
Transanal Endoscopic Operation for Benign Rectal Lesions and T1 Carcinoma
Human Medicine
Proctology
Journal of the Society of Laparoendoscopic Surgeons 2017 Jan-Mar
Importance of Resection Margins in the Treatment of Rectal Adenomas by Transanal Endoscopic Surgery
What is the best tool for transanal endoscopic microsurgery (TEM)? A case-matched study in 74 patients comparing a standard platform and a disposable material
Human Medicine
Proctology
International Journal of Colorectal Disease 2017 Jul
Transanal endoscopic resection with peritoneal entry: a word of caution
Hybrid NOTES: TEO for transanal total mesorectal excision: intracorporeal resection and anastomosis
Long term efficacy of Video-Assisted Anal Fistula Treatment (VAAFT) for complex fistula-in-ano: a single-centre Australian experience
Video-assisted anal fistula treatment
Human Medicine
Proctology
Journal of the Society of Laparoendoscopic Surgeons 2014 Jul-Sep
VAAFT: Video Assisted Anal Fistula Treatment; Bringing revolution in Fistula treatment
A Systematic review and meta-analysis of the efficacy and safety of video-assisted anal fistula treatment (VAAFT)
Comparative study of clinical efficacy between video-assisted anal fistula treatment and traditional fistula resection plus seton in treatment of complex anal fistula
Human Medicine
Proctology
Chinese Journal of Gastrointestinal Surgery 2018 July
Symptom amelioration in Crohn's perianal fistulas using video assisted anal fistula treatment (VAAFT)
Video-assisted anal fistula treatment in the management of complex anal fistula: a single-center experience
Short-term efficacy and safety of three novel sphincter-sparing techniques for anal fistulae: a systematic review
Enterocutaneous fistula: a novel video-assisted approach
Human Medicine
Proctology
Wideochirurgia I inne techniki maloinwazyjne 2017 Sept
Video-Assisted Anal Fistula Treatment (VAAFT) for Complex Anal Fistula: A Preliminary Evaluation in China
Human Medicine
Proctology
Medical Science Monitor: International Medical Journal of Experimetal and Clinical Research 2017 Apr
Endoscopic pilonidal sinus treatment (EPSiT)Endoskopische Pilonidalsinus Therapie (EPSiT): First single-center experience with an effective method for treating pilonidal sinus
Endoscopic Pilonidal Sinus Treatment: A Tertiary Care Academic Center Experience
Brazilian and argentinean multicentric study in the surgical minimally invasive treatment of pilonidal cyst
Short-term outcomes of endoscopic pilonidal sinus treatment
Human Medicine
Proctology
Annals of the Royal College of Surgeons of England 2019 Aug
The endoscopic treatment of pilonidal sinus disease: a short-term case-series study
Preliminary report on endoscopic pilonidal sinus treatment in children: results of a multicentric series
Outcomes of endoscopic pilonidal sinus treatment (EPSiT): a systematic review
Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population
Endoscopic Pilonidal Sinus Treatment: Long-Term Results of a Prospective Series
Human Medicine
Proctology
Journal of the Society of Laparoendoscopic Surgeons 2017 Jul-Sep
Endoscopic pilonidal sinus treatment: a prospective multicentre trial
Human Medicine
Proctology
Colorectal Disease: The Official Journal of the Association of Coloproctology of Great Britain and Ireland 2016 May